This patient in her 40s presented with excess skin on her upper eyelids (dermatochalasis). The patient underwent customized bilateral upper blepharoplasty with sulcus reformation. Sulcoplasty with the brassiere suture technique contours the eyelid and supports the brow fat pad from below. This recreates normal anatomic relationships and prevents the eyelid skin from sagging. Some patients need more than a traditional blepharoplasty with skin excision to achieve optimal results.
(Jan 8, 2019)